Eblen, Aimee Lynn
Eblen, Aimee Lynn is an individual health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Eblen, Aimee Lynn can be contacted via phone (770) 314-1388.Contact Information
Primary practice address
318 W Pike St Suite 104
Lawrenceville GA 30045-3234
Phone: (770) 314-1388
Fax: (678) 377-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT004663 | Georgia |
Profile Details
| NPI number | 1518054279 |
|---|---|
| LBN Legal business name | Eblen, Aimee Lynn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518054279 | NPPES |
| Georgia | Other | 10037612 | AMERIGROUP |
| Georgia | Other | 00731882C | AMERIGROUP |
| Georgia | MEDICAID | 00731882C | AMERIGROUP |
| Georgia | Other | 307920 | AMERIGROUP |
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